- Stanford Health Care (Palo Alto, CA)
- …with physician advisors to ensure clinically sound and persuasive appeals. 5. Physician Advisor Collaboration: Engage with physician advisors on a ... regulatory standards and achieve organizational goals. + Consult with the Physician Advisor to discuss complex cases, medical necessity, and strategies for… more
- Sutter Health (Berkeley, CA)
- …that chart documentation supports LOC determination and assignment. * Works with Physician Advisor and Attending Physicians to obtain necessary documentation to ... of the level of care. * Follows policies and procedures for Physician Advisor referrals. * Facilitates and expedites the discharge of patients from the… more
- Alameda Health System (Oakland, CA)
- …Interqual(R) clinical guidelines; refers questionable cases to the CM Manager or physician advisor for determination. 3. Takes appropriate action when cases ... Escalates to the attending physician , and the Care Management physician advisor of any concurrent denials.Prepares case reports;documents treatment plan,… more
- Sutter Health (San Francisco, CA)
- …team to assure timely transition. * Follows policies and procedures for Physician Advisor referrals. * Utilizes appropriate escalation process when discussing ... the acute care patient experience. This position works in collaboration with the Physician , Utilization Manager, Medical Social Worker and bedside RN to assure the… more
- Alameda Health System (San Leandro, CA)
- …action when cases do not meet criteria - coordinates denials with the attending physician , and the UR physician advisor . Prepares case reports; documents ... disposition of Medi-Cal, self-pay, and out-of-plan patients, including working with physician to determine readiness for transfer, securing placement and completing… more
- Alameda Health System (Alameda, CA)
- …action when cases do not meet criteria - coordinates denials with the attending physician , and the UR physician advisor . Prepares case reports; documents ... disposition of Medi-Cal, self-pay, and out-of-plan patients, including working with physician to determine readiness for transfer, securing placement and completing… more
- Federal Aviation Administration (Alameda, CA)
- …and timeliness of completed staff work. Provides staff assistance and serves as advisor to the manager on all matters pertaining to assigned tasking. Assists Safety ... selected will be required to: Provide documentation from a board-certified physician certifying that they meet the minimal medical requirements; or Individuals… more
- Deloitte (San Francisco, CA)
- …stakeholders, implement recommendations, and begin to build long-term trusted advisor relationships with client counterparts. Qualifications + Bachelor's degree + ... form, HCFA-1500, claim form and claim scrubber + Experience with hospital and physician financial and patient accounting systems, such as EPIC, Cerner, Soarian, SMS,… more
- Lucile Packard Children's Hospital Stanford (Palo Alto, CA)
- …treat patients according to a treatment plan which is agreed upon by the physician , patient and/or caregiver. The Physical Therapist II is a senior therapist with ... the needs of the patient. The Therapist serves as a clinical care advisor /guide to less experienced Therapists by answering questions, reviewing treatment plans and… more